I-abscessant substrate - formulation purulent, eyabonakala phantsi kwesithintelo. Ininzi idla ngokubakho ngenxa yeengxaki kwizifo ezivuthayo ezinobungozi zamalungu e-peritoneal, kubandakanya i-peritonitis, i-appendicitis ephawulekayo kunye ne-cholecystitis. Isifo sisininzi. Eyona nto ifunyanwe ngaphakathi kwe-esiswini, ngesantya kaninzi - ngasemva kweli sebe. Ngokuxhomekeka kwendawo yokutya, ukugula kuhlulwe kwicala lasekunene, elisekhohlo kunye nendawo. Ngokuqhelekileyo uhlobo oluqala lwesifo luvela.
Izibonakaliso zesohlwayo se-subdiaphragmatic
Ukuphuhliswa kwesi sifo kuhamba kunye neempawu:
- intlungu kwi-subcostal kwindawo ukuya ngasekunene okanye kwesobunxele;
- ukuvakalelwa okungathandekiyo esifubeni;
- umququ ;
- isicefe
- ubushushu obuphakamileyo;
- ukukhupha;
- ukwanda kwenani lentliziyo;
- ukuphefumula okufutshane.
Xa kubonakala iindidi okanye zonke ezi zibonakaliso, kubonisa ukulaliswa kwezibhedlele eziphuthumayo.
Ukuxilongwa kwesaziso esincinci
Ukuchonga isifo usebenzisa iindlela ezahlukeneyo:
- isifuba kunye nesisu somzimba;
- vavanyo lwegazi;
- I-Ultrasound yesisu;
- tomography ;
- xa ufumana i-abscess, uvavanyo lokuphunyezwa lwenziwa.
Iimbangela zekhefu lokuhlukana
Kukho izimbangela ezibalulekileyo zesifo:
- i-postitative peritonitis, eyabonakala emva kokuthengiswa kwesisu, izilonda zesisu, isisindo somzimba;
- ukulimala nokuvaliwa kwe-thoracoabdominal (ukugqitywa, ukunqunyulwa, amanxeba), izivunguzo;
- ukuvuvukala kwezitho zangaphakathi - ipeni, isibindi, i-appendicitis;
- iinkqubo ezingenasiphelo kwimiphunga kunye nokukhala.
Unyango lwentsimba ye-subdiaphragmatic
Unyango oluyinkimbinkimbi liqukethe iindlela ezininzi zokwelapha ezisisiseko:
- antibacterial;
- ukuqiniswa ngokubanzi;
- uphawu;
- ukuxutywa.
Ngexesha elifanayo, indlela esetyenziswa ngayo kakhulu yokuphathwa kwesi sifo i-dissection ye-absfmm abscess and drainage. Ukusebenza kwenziwa ngeendlela ezimbini - i-transthoracic okanye i-transabdominal. Ukukhethwa kwendlela ngokuthe ngqo kuxhomekeke kwisigaba sokuphuhliswa kunye nendawo yesifo.
Ukusebenza kunye nokufakelwa kwamanzi okulandelelanayo kuvumela ukudala zonke iimeko eziyimfuneko yokuphuma kwepus. Ngokuqhelekileyo, kunye ne-incision engundoqo, enye eyongezelelweyo yenziwe. Oku kwenza ukuba kube lula ukucoca umgangatho kunye nokuqhuba ukuhlaziywa kwayo. Ukongeza, iziqulatho ziboniswa ngenaliti enkulu. Emva koko, umgudu ongenalutho uhlambulwa ngamayeza okulwa namagciwane.